Individual
PAUL SUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
11333 SEPULVEDA BLVD, MISSION HILLS, CA 91345-1116
(818) 837-5765
(818) 837-5767
Mailing address
PO BOX 9602, MISSION HILLS, CA 91346-9602
(818) 837-5691
(818) 792-4793
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G14109
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G141090
—
CA
Enumeration date
07/18/2006
Last updated
04/03/2014
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